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1083203079
KRAIANNE THOMPSON SOUZA
MANTECA, CA
NPI
1083203079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-13
Last Update Date
2021-01-14
Business Address
Mrs. KRAIANNE THOMPSON SOUZA
129 E CENTER ST
MANTECA, CA 95336-4648
Phone number: 209-239-5553
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Mailing Address
Mrs. KRAIANNE THOMPSON SOUZA
4001 PROGRESS WAY
STOCKTON, CA 95206-6419
Phone number: 209-982-5883
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